How much rates vary
Facilitymedian $550 · 10th to 90th $302 to $1,023Professionalmedian $437 · 10th to 90th $219 to $724
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $5,128.61 Median $7,943.28 Typical High $19,952.62 | Facility | None | $5,128.61 | $7,943.28 | $19,952.62 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $295.12 Typical High $512.86 | Professional | None | $186.21 | $295.12 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $588.84 Typical High $954.99 | Facility | None | $478.63 | $588.84 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $467.74 Typical High $794.33 | Professional | None | $263.03 | $467.74 | $794.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $371.54 Median $549.54 Typical High $891.25 | Professional | None | $371.54 | $549.54 | $891.25 |
Moda Health Setting Facility Modifier None Typical Low $295.12 Median $457.09 Typical High $7,943.28 | Facility | None | $295.12 | $457.09 | $7,943.28 |
Moda Health Setting Professional Modifier None Typical Low $213.80 Median $363.08 Typical High $645.65 | Professional | None | $213.80 | $363.08 | $645.65 |
Pacific Source Setting Facility Modifier None Typical Low $257.04 Median $512.86 Typical High $630.96 | Facility | None | $257.04 | $512.86 | $630.96 |
Providence Setting Facility Modifier None Typical Low $323.59 Median $575.44 Typical High $891.25 | Facility | None | $323.59 | $575.44 | $891.25 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $426.58 Typical High $794.33 | Professional | None | $79.43 | $426.58 | $794.33 |
Regence BlueShield Setting Facility Modifier None Typical Low $2,290.87 Median $3,162.28 Typical High $3,630.78 | Facility | None | $2,290.87 | $3,162.28 | $3,630.78 |
Regence BlueShield Setting Professional Modifier None Typical Low $354.81 Median $549.54 Typical High $630.96 | Professional | None | $354.81 | $549.54 | $630.96 |
United Setting Facility Modifier None Typical Low $354.81 Median $660.69 Typical High $3,981.07 | Facility | None | $354.81 | $660.69 | $3,981.07 |
United Setting Professional Modifier None Typical Low $257.04 Median $457.09 Typical High $812.83 | Professional | None | $257.04 | $457.09 | $812.83 |
12 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $147.91 Typical High $257.04 | Professional | 52 · Reduced service | $144.54 | $147.91 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $58.88 Typical High $102.33 | Professional | 53 · Discontinued | $57.54 | $58.88 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $218.78 Typical High $380.19 | Professional | 54 · Surgery only | $213.80 | $218.78 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $43.65 Typical High $77.62 | Professional | 55 · Aftercare only | $42.66 | $43.65 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $29.51 Typical High $51.29 | Professional | 56 · Pre-op care only | $28.84 | $29.51 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $204.17 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $199.53 | $204.17 | $354.81 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $147.91 Median $147.91 Typical High $257.04 | Professional | 52 · Reduced service | $147.91 | $147.91 | $257.04 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $102.33 | Professional | 53 · Discontinued | $58.88 | $58.88 | $102.33 |
Moda Health Setting Professional Modifier 54 · Surgery only Typical Low $218.78 Median $218.78 Typical High $380.19 | Professional | 54 · Surgery only | $218.78 | $218.78 | $380.19 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $43.65 Typical High $77.62 | Professional | 55 · Aftercare only | $43.65 | $43.65 | $77.62 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $29.51 Median $29.51 Typical High $51.29 | Professional | 56 · Pre-op care only | $29.51 | $29.51 | $51.29 |
Moda Health Setting Professional Modifier 78 · Unplanned return to OR Typical Low $204.17 Median $204.17 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $204.17 | $204.17 | $354.81 |
Where Oregon sits
The same service costs 4.5 times more in Alaska than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oregon· 7th of 51
$457
AK $741KY $166
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.